Chung, Theodore
Chung, Theodore is an sole proprietor health care provider with primary practice located at 1100 Wilford Hall Loop Bldg 4554 59 Mdw/Gme, Jbsa Lackland Afb TX 78236-9908. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Chung, Theodore can be contacted via phone (210) 266-5609.Contact Information
Primary practice address
1100 Wilford Hall Loop Bldg 4554 59 Mdw/Gme
Jbsa Lackland Afb TX 78236-9908
Phone: (210) 266-5609
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101274313 | Virginia |
Profile Details
| NPI number | 1306307301 |
|---|---|
| LBN Legal business name | Chung, Theodore |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 31st, 2019 |
| Last updated | Aug 22nd, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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